Provider Demographics
NPI:1861775017
Name:KRAMER, STACY V (PHARMD)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:V
Last Name:KRAMER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 ROUNDTOP RD
Mailing Address - Street 2:
Mailing Address - City:FALKVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35622-5546
Mailing Address - Country:US
Mailing Address - Phone:256-784-5370
Mailing Address - Fax:
Practice Address - Street 1:201 HIGHWAY 31 NW
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-4444
Practice Address - Country:US
Practice Address - Phone:256-773-4377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15651183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist